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Contract Implementation Specialist

The Contract Implementation Specialist is responsible for the creation, implementation, and maintenance of professional care contracts, and the professional provider fee schedules within the contracts with professional providers. A Contract Implementation Specialist is also responsible for the interpretation, translation, and completion of all processes related to creating and maintaining negotiated fees or rates. In charge of updating any applicable contract files, and provide timely responses in regards to any issues raised by clients.

Position Responsibilities

  • Creation and maintenance of contract files
  • Interpretation of internal and external contract documentation such as executed contracts
  • Coordinate with internal departments to execute components of contracts like medical policies
  • Implement updates and additions to the system
  • Aid in the resolution of contractual discrepancies received via avenues like audit reports or reconciliation files
  • Track completed work and request documents in all departmental areas
  • Perform other duties as assigned

Qualifications and Education

  • Strong understanding of managed care, delivery systems, and reimbursement
  • Computer literacy with either a proficiency, or willingness to learn the Microsoft Office suite of apps
  • Strong reading comprehension with attention to detail
  • Excellent verbal and written communication skills
  • Generally, a Bachelor’s degree in a Health Care related field is required

A minimum of a few years of related experience in a healthcare environment